Journal
OBESITY SURGERY
Volume 31, Issue 4, Pages 1790-1800Publisher
SPRINGER
DOI: 10.1007/s11695-020-05188-7
Keywords
Bariatric surgery; Biliopancreatic bypass; Pylorus sparing; Duodenal switch; Duodenoileal diversion; Omega loop
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SADI-S surgery shows significant effects on weight loss and comorbidity resolution, with reoperation and nutritional deficiencies being notable concerns postoperatively.
Single-anastomosis duodenoileal bypass with sleeve gastrectomy/one anastomosis duodenal switch (SADI-S/OADS) was developed as a bariatric operation with reduced overall morbidity and lasting weight loss results. We performed a systematic review of the literature, including 14 studies reporting on weight loss, comorbidity resolution, postoperative complications, and nutritional deficiencies following SADI-S. Twelve months after SADI-S, the mean total body weight lost ranged from 21.5 to 41.2%, with no weight regain being observed after 24 months. The comorbidity resolution rate was 72.6% for diabetes, 77.2% for dyslipidemia, and 59.0% for hypertension cases. The need for reoperation was the most common postoperative complication. While several patients developed nutrient deficiencies, SADI-S seems to be an overall safe and effective bariatric operation.
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